Individual provider Active NPI

David W. Lipscomb, PMHCNS-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Newark, DE
National Provider Identifier
1942432281
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
LE-0000178 Issued in DE
Practice address
774 Christiana Rd
Suite 210B
Newark, DE 19713-4236
Phone
(302) 731-3017
Fax
(302) 266-9661
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X LE-0000178 DE Primary

Addresses

Primary practice location

774 Christiana Rd
Suite 210B
Newark, DE 19713-4236

Mailing address

774 Christiana Rd
Suite 210B
Newark, DE 19713-4236
Phone (302) 731-3017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000155 DE Practitioner - Certified Clinical Nurse Specialist (CNS) 6305989179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LE-0000178DEMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Psychiatric/Mental Health, Adult CurrentSince Dec 2, 2009 Accepting new patients
Christiana Care Health Services Inc CurrentSince Dec 2, 2009 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 1201
Newark, DE 19713
Phone (302) 623-4330

100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1942432281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD",
            "address_2": "SUITE 210B",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134236",
            "telephone_number": "302-731-3017",
            "fax_number": "302-266-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD",
            "address_2": "SUITE 210B",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134236",
            "telephone_number": "302-731-3017",
            "fax_number": "302-266-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSCOMB",
        "first_name": "DAVID",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "DE",
            "license": "LE-0000178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.